Kelly Martin1,2, Krupali Shah1, Abha Shrestha3, Emily Barrett4, Kusum Shrestha5, Cuilin Zhang6, Archana Shrestha5,7,8, Laura Byham-Gray1, Shristi Rawal9. 1. Department of Clinical and Preventive Nutrition Sciences, School of Health Professions, Rutgers The State University of New Jersey, 65 Bergen Street. Room 157, Newark, NJ, 07107, USA. 2. Department of Human Ecology, SUNY Oneonta, Oneonta, NY, USA. 3. Department of Obstetrics and Gynecology, Dhulikhel Hospital, Dhulikhel, Nepal. 4. Department of Biostatistics and Epidemiology, Rutgers School of Public Health, Environmental and Occupational Health Sciences Institute, Rutgers The State University of New Jersey, Piscataway, NJ, USA. 5. Department of Public Health, Kathmandu University School of Medical Sciences, Dhulikhel, Nepal. 6. Eunice Kennedy Shriver National Institute of Child Health and Development, Bethesda, MD, USA. 7. Department of Chronic Disease and Epidemiology, Center of Methods for Implementation and Prevention Science, Yale School of Public Health, New Haven, CT, USA. 8. Institute for Implementation Science and Health, Kathmandu, Nepal. 9. Department of Clinical and Preventive Nutrition Sciences, School of Health Professions, Rutgers The State University of New Jersey, 65 Bergen Street. Room 157, Newark, NJ, 07107, USA. shristi.rawal@rutgers.edu.
Abstract
OBJECTIVES: Here we examined the reproducibility and validity of a dietary screener which was translated and adapted to assess diet quality among pregnant Nepalese women. METHODS: A pilot cohort of singleton pregnant women (N = 101; age 25.9 ± 4.1 years) was recruited from a tertiary, periurban hospital in Nepal. An adapted Nepali version of the PrimeScreen questionnaire, a brief 21-item dietary screener that assesses weekly consumption of 12 healthy and 9 unhealthy food groups, was administered twice, and a month apart, in both the 2nd and 3rd trimesters. Up to four inconsecutive 24-h dietary recalls (24-HDRs) were completed each trimester and utilized as the reference method for validation. For each trimester, data from multiple 24-HDRs were averaged across days, and items were grouped to match the classification and three weekly consumption categories (0-1, 2-3, or 4 + servings/week) of the 21 food groups represented on the PrimeScreen. RESULTS: Gwet's agreement coefficients (AC1) were used to evaluate the reproducibility and validity of the adapted PrimeScreen against the 24-HDRs in both the 2nd and 3rd trimester. AC1 indicated good to excellent (≥ 0.6) reproducibility for the majority (85%) of food groups across trimesters. There was moderate to excellent validity (AC1 ≥ 0.4) for all food groups except for fruits and vegetables in the 2nd trimester, and green leafy vegetables and eggs in both the 2nd and 3rd trimesters. CONCLUSIONS: The modified PrimeScreen questionnaire appears to be a reasonably valid and reliable instrument for assessing the dietary intake of most food groups among pregnant women in Nepal.
OBJECTIVES: Here we examined the reproducibility and validity of a dietary screener which was translated and adapted to assess diet quality among pregnant Nepalese women. METHODS: A pilot cohort of singleton pregnant women (N = 101; age 25.9 ± 4.1 years) was recruited from a tertiary, periurban hospital in Nepal. An adapted Nepali version of the PrimeScreen questionnaire, a brief 21-item dietary screener that assesses weekly consumption of 12 healthy and 9 unhealthy food groups, was administered twice, and a month apart, in both the 2nd and 3rd trimesters. Up to four inconsecutive 24-h dietary recalls (24-HDRs) were completed each trimester and utilized as the reference method for validation. For each trimester, data from multiple 24-HDRs were averaged across days, and items were grouped to match the classification and three weekly consumption categories (0-1, 2-3, or 4 + servings/week) of the 21 food groups represented on the PrimeScreen. RESULTS: Gwet's agreement coefficients (AC1) were used to evaluate the reproducibility and validity of the adapted PrimeScreen against the 24-HDRs in both the 2nd and 3rd trimester. AC1 indicated good to excellent (≥ 0.6) reproducibility for the majority (85%) of food groups across trimesters. There was moderate to excellent validity (AC1 ≥ 0.4) for all food groups except for fruits and vegetables in the 2nd trimester, and green leafy vegetables and eggs in both the 2nd and 3rd trimesters. CONCLUSIONS: The modified PrimeScreen questionnaire appears to be a reasonably valid and reliable instrument for assessing the dietary intake of most food groups among pregnant women in Nepal.
Authors: Sabika S Allehdan; Reema F Tayyem; Lana M Agraib; Fida M Thekrallah; Fida F Asali Journal: J Acad Nutr Diet Date: 2019-04-25 Impact factor: 4.910
Authors: Rebecca K Campbell; Sameera A Talegawkar; Parul Christian; Steven C LeClerq; Subarna K Khatry; Lee S F Wu; Keith P West Journal: J Health Popul Nutr Date: 2014-06 Impact factor: 2.000